The alliance integrates Simplify Healthcare's Benefits1 platform and Convey Health Solutions' Miramar platform into a single, managed services model led by Sagility to eliminate manual member data hand-off errors common in the health insurance industry. Sagility Synchrony is engineered to deliver 99% member enrollment accuracy and a 40% reduction in…
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The Dallas- based health plan will leave the Texas Medicaid Managed Care Program at the end of August, through which about 125,000 people are enrolled in Medicaid. "We are committed to supporting affected team members through this transition with new and unique resources, including dedicated career guidance, funded reskilling for high-demand clinical…
Mallory McMorrow unveiled a new maternal health policy platform in her bid for U.S. Senate, with a focus on inequities facing mothers of color and bringing enacted statewide policies to the federal level. "Black women in Michigan are more than 75% more likely to die from pregnancy-related causes than white women, and, through the leadership of activists and…
The following information was released by the Illinois Senate Democrats:. With nearly one in 10 Americans lacking health insurance coverage according to the U.S. Census Bureau, State Senator Laura Ellman advanced new legislation to ensure Illinois residents are not locked out of coverage due to past-due premium payments. "Unexpected financial hardship can…
Employer-sponsored health insurance is the largest source of health coverage for U.S. residents under age 65. Unlike many other nations, the U.S. relies on voluntary, private health insurance as the primary source of coverage for residents who are not elderly, poor or disabled. A KFF analysis of the American Community Survey found that 154 million people under…
The following information was released by the Illinois Senate Democrats:. According to the Center for Disease Control, roughly 2.9 million adults and 456,000 children across the United States suffer from epilepsy or another seizure disorder. To expand Illinois patient access to these life-saving devices, Senate Bill 2762 would require health insurance…
The following information was released by the Oklahoma State Senate:. OKLAHOMA CITY- Legislation authored by SenatorKristen Thompson, R-Edmond, that will restore fairness and transparency in dental insurance practices has been signed into law by the governor. I appreciate Governor Stitt for signing this measure and the House bill author Speaker Pro Tem…
The following information was released by the Illinois Senate Democrats:. To ensure patients can consistently access the medicines they depend on, State Senator Laura Fine is leading legislation to safeguard insurance coverage for topical eye medications. Senate Bill 2921 passed the Senate on Tuesday and now heads to the House.
The following information was released by the Illinois Senate Democrats:. State Senator Willie Preston is spearheading a measure that would require health insurance companies to provide coverage for rehabilitative speech therapy as a treatment for stuttering. The measure is estimated to cost the state about $1.9 million, but Medicaid coverage will not…
But NPR pharmaceuticals correspondent Sydney Lupkin reports insurance coverage has not kept pace. SYDNEY LUPKIN, BYLINE: For Megan Lena, a special ed teacher in Massachusetts, the letter she got last spring from the company that manages her drug benefits really hurt. CVS Caremark said it was dropping Eli Lilly' s blockbuster obesity drug Zepbound from its…
COLUMBUS, Ohio— Bipartisan lawmakers in both chambers of the legislature are proposing a major overhaul to Ohio's Medicaid system, which they say would make things easier on patients, ensure public transparency, and potentially save the state millions. State Senators Louis Blessing and Beth Liston, along with Representative Karen Brownlee say Ohio's…
With the city of Auburn facing a $5 million budget deficit, a proposed retirement incentive for eligible employees could help close that gap. The Auburn City Council will consider the proposal at its meeting on Thursday. That incentive is a $10,000 cash payout or a $12,500 contribution toward the retiree's health insurance premiums.
2026 APR 15– By a News Reporter-Staff News Editor at Insurance Daily News– Investigators publish new report on Managed Care. According to news reporting from Philadelphia, Pennsylvania, by NewsRx journalists, research stated,“ To examine the plausibly causal effect of Medicaid home- and community-based services use on Medicare community-initiated home…
Last month, we discussed what the Next Generation MyCare plan is and how it came to be in the State of Ohio. This Fully Integrated, Dually Eligible, Special Needs Plan or“ FIDE-SNP”, is currently rolling out in counties across the state and will eventually be available in all 88 counties in Ohio. For Medicaid, the State of Ohio has awarded contracts for Next Generation…
2026 APR 15– By a News Reporter-Staff News Editor at Mergers& Acquisitions Daily News– Carolina Complete Health and WellCare of North Carolina, subsidiaries of the Centene Corporation, announced to close on their merger. “This merger expands our ability to serve members in government-sponsored health insurance programs across North Carolina, and…
2026 APR 15– By a News Reporter-Staff News Editor at CDC& FDA Daily– Investigators discuss new findings in Immune System Diseases and Conditions- HIV/AIDS. Our news journalists obtained a quote from the research from National Center for HIV,“ Randomized structural intervention conducted from 2018-2020 in Chicago, Illinois. Black/ African American and…
The March RFP came in year two of a three-year contract with Aetna and less than a year and a half after the state switched to Aetna from Blue Cross and Blue Shield of North Carolina, which had served as the plan’ s third-party administrator for 40 years. That’ s despite the contract with Aetna having an optional two-year extension. An administrative law judge…
RICHMOND— Big bills are coming due in Virginia from steep federal cuts in funding for Medicaid and food assistance, as well as higher health insurance costs for state employees, but Senate Democrats and Gov. Hours after Spanberger proposed hundreds of changes to legislation passed by her fellow Democrats, members of the Senate Finance& Appropriations…
According to a new study released by WalletHub, Kentucky ranks as the fifth-worst state for children's health care, trailing only Montana, Alaska, Arizona, and Mississippi. While some families receive assistance through Medicaid or the Children's Health Insurance Program, many who do not qualify for government support continue to face financial strain…
Big bills are coming due in Virginia from steep federal cuts in funding for Medicaid and food assistance, as well as higher health insurance costs for state employees, but Democrats in the state Senate and Gov. Hours after Spanberger proposed hundreds of changes to legislation passed by her fellow Democrats, members of the Senate Finance& Appropriations…
